LEE GU IM DDS PC
NPI 1205792215
Dentist - General Practice in Olympia, WA

Active since January 03, 2026
3250 14TH AVE NW STE A, OLYMPIA, WA 98502(360) 866-7669(360) 866-9115 Get Directions Write a Review

NPPES record last updated: January 3, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • General Practice

About LEE GU IM DDS PC

This page provides the complete NPI Profile along with additional information for Lee Gu Im Dds Pc, a provider established in Olympia, Washington operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1205792215 assigned on January 2026. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Aja Hantel (Office Manager)

NPI
1205792215 Verify this NPI
Provider Name
LEE GU IM DDS PC
Entity Type
Organization
Location Address
3250 14TH AVE NW STE A OLYMPIA, WA 98502
Location Phone
(360) 866-7669
Location Fax
(360) 866-9115
Mailing Address
3250 14TH AVE NW STE A OLYMPIA, WA 98502
Mailing Phone
(360) 866-7669
Mailing Fax
(360) 866-9115
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-03-2026
Last Update Date
01-03-2026
Code Navigator

A dentist like Lee Gu Im Dds Pc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AJA HANTEL

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(360) 866-7669

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (General Practice)
3250 14TH AVE NW STE A
OLYMPIA, WA 98502

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205792215, enumerated as an "organization" on January 03, 2026.

The provider is located at 3250 14TH AVE NW STE A OLYMPIA, WA 98502 and the phone number is (360) 866-7669.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.